Baker, Sandra Caroline
Baker, Sandra Caroline is an individual health care provider with primary practice located at 2625 N Weil St , Milwaukee WI 53212-3060. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Baker, Sandra Caroline can be contacted via phone (414) 962-1200.Contact Information
Primary practice address
2625 N Weil St
Milwaukee WI 53212-3060
Phone: (414) 962-1200
Fax: (414) 962-2305
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 12129132 | Wisconsin |
Profile Details
NPI number | 1528247053 |
---|---|
LBN Legal business name | Baker, Sandra Caroline |
Credentials | CSAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 1st, 2007 |
Last updated | Aug 22nd, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1528247053 | NPPES |
Wisconsin | MEDICAID | 39388400 | |
Wisconsin | Other | 12129132 |
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